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ESIC MTS Application Details for Randhir Kumar

The document is an application for the position of Multi-Tasking Staff at the Employees' State Insurance Corporation, submitted by Randhir Kumar. It includes personal details, educational qualifications, and application fee information. The applicant is from the OBC category and has provided necessary declarations regarding the accuracy of the information submitted.

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santoshghosal66
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0% found this document useful (0 votes)
49 views4 pages

ESIC MTS Application Details for Randhir Kumar

The document is an application for the position of Multi-Tasking Staff at the Employees' State Insurance Corporation, submitted by Randhir Kumar. It includes personal details, educational qualifications, and application fee information. The applicant is from the OBC category and has provided necessary declarations regarding the accuracy of the information submitted.

Uploaded by

santoshghosal66
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

EMPLOYEES' STATE INSURANCE CORPORATION

270137
RECRUITMENT OF UPPER DIVISION CLERK (UDC), STENOGRAPHER (STENO.) AND
MULTI-TASKING STAFF (MTS) IN ESIC

Registration Number : 119146942

Full Name : Randhir Kumar

Post: : Multi-Tasking Staff


Region: : Delhi

Category : OBC

Are you a person with benchmark disability of 40% and above ? : NO

Disability category : -
Type of Disability : -

Do you need compensatory time at the time of examination? : -

Are you suffering from cerebral palsy and your writing speed is : -
affected : ?

If Yes, Do you need compensatory time at the time of : -


examination?

Whether your dominant (Writing) hand is affected ? : -


If Yes, Do you need compensatory time at the time of : -
examination?
Do you intend to use the services of a scribe ? : -

Religion to which you belong : Hindu

Do you belong to Religious Minority ? : NO


Are you ESIC Employee/ Government Servant who have rendered : NO
not less than 3 years regular and continuous service as on closing
date for receipt of application : ?
Kindly Specify : -

Are you a regular ESIC employee seeking relaxation in fee ? : -


Are you an Ex-Serviceman : ? : NO
Period of Service ( in months) : -

Ex-Servicemen who have already secured employment in civil : -


side under Government in Group ‘C’ & ‘D’ posts on regular basis
after availing of the benefits of reservation given to ex-servicemen
Any other category for relaxation in age : YES

Mention category for age relaxation : OBC


Nationality : Indian
State/UT to which centre of Preliminary examination belongs : Jharkhand

Centre of Preliminary Examination : Bokaro steel city


State/UT to which centre of Main examination belongs : JHARKHAND

Centre of Main Examination : RANCHI

Application Fee / Intimation charges


Payment In : ONLINE
Amount : 500.00
Payment Status : PAID

Reference ID : WHMP0852569139
Transaction Date : 18-01-2022
Do you want to receive refund of fees in the same channel by : -
which you are paying fees ?
Account Number : -
Account Type : -

Bank Name : -
Branch Name : -
IFSC Code : -

Name of the Account Holder : -

Personal Details
Date of Birth : 10-12-1994

Age completed as on 15.02.2022 : 27


Gender : Male
Do you have twin brother / sister ? : NO
Name of the twin : -
Gender of the twin : -

Marital Status : Unmarried


Father's Name : Binod Prasad Swarnkar
Mother's Name : Kamla Devi
Spouse's Name : -
Address for Correspondence
Address 1 : SO Binod Prasad Swarnkar

Address 2 : Shiv Shakti Colony Chas


District : Bokaro
State : JHARKHAND
Pincode : 827013
Permanent address

Address 1 : Sonar Muhalla Bishnugarh


Address 2 : P.S. Bishnugarh
District : Hazaribagh
State : JHARKHAND
Pincode : 825312

Contact Details
Mobile No : +91 9778361452

Alternative Number : +91 7903308684


(Mobile No/Landline No)
Email ID : randhirkumar0005@[Link]

Educational Qualification(as on 15.02.2022)

Exam Passed Degree/Subject /Stream Date of % of Marks Class / Grade


Passing
Matriculation/10th ALL Subjects 10-06-2011 89.30 First Class

HSC/12th Others - PCM 27-05-2013 85.83 First Class


Graduation/Equivalent Others - BTech 29-05-2017 79.80 First Class

Other Details :

Languages Known Read Write Speak

Hindi YES YES YES

English YES YES YES

Uploaded Document Details :

1. Left Thumb Impression


2. Hand Written Declaration

Declaration:

I hereby declare that all the statements made in this application are True, Complete and Correct to the best of my knowledge and belief. I
understand that in the event of any information being found untrue or incorrect at any stage or I am not satisfying any of the eligibility criteria
stipulated, and also in case of creating influence/undue pressure regarding recruitment shall tantamount to cancellation of my candidature.

Date: 18-01-2022 Signature of Applicant

Left Thumb Impression

Hand Written Declaration

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